17C-066 (8) PERMIT APPLICATION CHECK LI T
PAGE 7 PLOT ZONE YES NO ATE
1. ZONING FORM APPLICATION Lam' 6 1 q(c
2. PERMIT APPLICATION
3. OWNER OCCUPANT STATEMENT / LIC.# IF NOT (�
4. 3 SETS OF PLANS /PLOT PLAN
5. NEW CONSTRUCTION
6. CURB CUT
7. WATER AVAILABILITY FORMS
8. REMODELING INTERIOR
9. ADDITIQj
10. ACCESSORY STRUCTURE
11. SIGN / AWNING
12. PERMIT FEE - CHECK ONLY - MONEY ORDER 4- 1. )---
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 - CMR 780
15. FORM A
16. FILL
COMMENTS:
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��. DEPARTMENT OF BUILDING INSPECTIONS 1C1 °
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
S/l//� (Please Print)
DATE: So 7 j� J
JOB LOCATION : ` 7 V-)
(Map) (parcel) (Subdivision)
HOMEOWNER:__' kit% / / 7;C,ea-A-dV
(Name & Address
8 (ti' 5 - 6 > <3 0
(Home Phone) ( k Phone)
The current exemption for "homeowners" was extended to include
Owner - occupied Dwellings of one (1)or two (2) families and to allow such.
homeowner to engage an individual for hire who does not possess a
license, provided_ that the owner acts as supervisor. CMR780 Section 109.1.1
DEFINITION OF HOMEOWNER: Person(s) who own a parcel of land on
which he /she resided or intends to reside, on which there is, or is
intended to be, a one or two family dwelling, attached or detached
structures accessory to such use and /or farm structures. A person who •
constructs more than one home in a two -year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building
Official, on a form acceptable to the Building-Official, that he /she:
shall be responsible for all such work performed under the building
permit.
As acting Construction Supervisor your presence on the job site
will be required from time to time, during and upon completion of the .
work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers'
Compensation) and Chapter 153 (Liability of Employers to Employees for
• injuries not resulting in Death) of the Massachusetts General Laws
Annotated, you may be" liable for person(s) you hire to perform work for
. you under this permit.
The undersigned "homeowner" certifies and assumes responsibility
for compliance with the State Building Code,- City of Northampton
Ordinances, State and Local Zoning Laws, and State of Massachusetts
General Laws Annotated.
HOMEOWNER SIGNATURE f �� �
BUILDING PERMIT #
,: 'l 00262'3
Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: N1 /4V✓/M -J(2„(.
Address:
_4I 1 , Te ephone: •f6 y'Q 7 .
2. Owner of Property: 74r}Jx4 6 4,0„A --- 1,0./14-6.---7 t4/
Address: /3,9 //-7) , � � = j / Te : ,r, f Of ,
3. Status of Applicant:_Owner Contract Purchaser
Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet# Tic Parcel# (:,( ,
Zoning District (s) (include ov ays) tail
Street Address /5 nA ,
Required
5. Existing Proposed by Zoning
Use of Structure /Property Q,(,: "kr,,. t
(if project is only interior worsip #6)
Building height
%Bldg.Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs .
Fill (volume & location) •
6. Narrative Description of Proposed Work /Project: (Use additional sheets
if necessary) ' � �� �7.rL 2/: S'J / i Yt c/�
7. Attached Plans: Aix 'Sketch Plan Site Plan
. 8. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: .5 Applicant's Signature: --
y e : -G
• 7 THIS SECTION FOR OFFICI E ONLY:
Approved as p
A on information presented
presented/based based /
Denied as presented -- Reason:
cial Permit and /or Site Plan Required:
- - i.- g Re•• red• Variance Required: -5 es-
. . gnatu e :f :Ili ding I - for ( a
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from tho Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No., s719� 7 Alterations
%r NORTHAMPTON„ MASS. / `� 1 9� Additions
r
APPLICATION FOR PERMIT TO ALTER Repair
Garage
/ /
1. Location /�.S ( # /JJ i , Sr a&4 Lot No.
2. Owner's name ; Jt/ ,N�n i ? Address , F • /.. � � L ^ - �
3. Builder's name 7) 4) / .Y-- -DDS,q Address .?r�G/�C� f 0 .
Mass. Construction Supervisor's License No. ,AJ4 Expiration Date A/•4
4. _ dd 'on
S. lie n n .� / k!u-P
6. New Porch
/
7. Is existing building to be demolished? Ai 0
8. Repair after the fire /"//
9. Garage AIA` No. of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
53/7
Signature of responsible appicant
Remarks
-*v
•' " City of Northampton REQUIRED
1. Footings and Walls
• , =,, ,:t! BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. #400 Office of the Building Inspector
Zoning Form No. 002623 Date 5/17/94 Fee $ 20 Check # 1982
Page, 17C: Parcel 66 ,Zone TTRA Section 127 ❑ Yes 0 No
ButEDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Joanne Montgomery before Building Inspections
has permission to Repair exterior stairs from driveway to backyard Inspection on Site— Foundations
situated on 155 Chestnut Street Inspection of Plumbing —Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing— Finish
conform to the terms of the application on filb in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring —Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring — Finish
of this permit Expires six months from date of issuance, if not started. Building Inspection —Rough
Note: A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing, Wiring and Building Inspectors.
Building Inspection— Finish
Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU ' L a !' • THE PREMISES
Certificate of Occupancy ■
for
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